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This Week in Parasitism - TWiP 172: A painless lesion

TWiP 172: A painless lesion

06/14/19 • 103 min

This Week in Parasitism

Hosts: Vincent Racaniello, Dickson Despommier, and Daniel Griffin

The metacyclic TWiPomastigotes solve the case of the Child With a Painless Leg Lesion, and reveal how to kill mosquitoes with a genetically modified fungus.

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Become a patron of TWiP.

Case Study for TWiP 172

Retired US Navy physician, lives aboard his sailboat, just finished doing remote medical volunteer work in C. America. In DR when has sudden onset of dull prog worsening epigastric lower abdominal pain. Over next 12 hr intensifies, near tears, went to local medical center. Admitted, given IV, probiotics. Febrile, elevated WBC 20,000, platelets low, white counts left shift. Initially some constipation, then diarrhea with some blood. Discharged without diagnosis; still fever and chills; rash rose colored spots on torso. Daniel gets involved; 3 day course of azithromycin, symptoms continue; then metronidazole, feels better, fever, pain, symptoms resolve. Wife is ok. Three men working on his boat, one had bloody diarrhea before the patient did. Keeps a bowl of nuts around.

Send your case diagnosis, questions and comments to [email protected]

Music by Ronald Jenkees

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Hosts: Vincent Racaniello, Dickson Despommier, and Daniel Griffin

The metacyclic TWiPomastigotes solve the case of the Child With a Painless Leg Lesion, and reveal how to kill mosquitoes with a genetically modified fungus.

Subscribe (free): iTunes, Google Podcasts, RSS, email

Links for this episode:

Become a patron of TWiP.

Case Study for TWiP 172

Retired US Navy physician, lives aboard his sailboat, just finished doing remote medical volunteer work in C. America. In DR when has sudden onset of dull prog worsening epigastric lower abdominal pain. Over next 12 hr intensifies, near tears, went to local medical center. Admitted, given IV, probiotics. Febrile, elevated WBC 20,000, platelets low, white counts left shift. Initially some constipation, then diarrhea with some blood. Discharged without diagnosis; still fever and chills; rash rose colored spots on torso. Daniel gets involved; 3 day course of azithromycin, symptoms continue; then metronidazole, feels better, fever, pain, symptoms resolve. Wife is ok. Three men working on his boat, one had bloody diarrhea before the patient did. Keeps a bowl of nuts around.

Send your case diagnosis, questions and comments to [email protected]

Music by Ronald Jenkees

Previous Episode

undefined - TWiP 171: Better than a sharp stick in the eye

TWiP 171: Better than a sharp stick in the eye

The Leishmaniacs solve the case of the Child With Band Keratopathy, and reveal a eukaryotic parasite with functional mitochondria but without mitochondrial genomes.

Hosts: Vincent Racaniello, Dickson Despommier, and Daniel Griffin

Subscribe (free): iTunes, Google Podcasts, RSS, email

Become a patron of TWiP.

Links for this episode: Case Study for TWiP 171

By boat to remote village, young boy (

Next Episode

undefined - TWiP 173: Rose colored spots

TWiP 173: Rose colored spots

Hosts: Vincent Racaniello, Dickson Despommier, and Daniel Griffin

The podcastellani hosts solve the case of the Sailor With Dysentery, and reveal the first virus discovered in Plasmodium species.

Subscribe (free): iTunes, Google Podcasts, RSS, email

Links for this episode:

Become a patron of TWiP.

Case Study for TWiP 173

Successful individual in NY area with 9 months of epigastric pain. Did upper endoscopy, saw in stomach several small mobile white serpiginous moving objects. 2.8 mm. Seem to be trying to burrow into gastric mucosa. One grabbed and sent to lab. History: curious habit of curing his own protein sources.

Send your case diagnosis, questions and comments to [email protected]

Music by Ronald Jenkees

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